Individual
CONNOR DANIEL FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3155 CHANNING WAY STE D, IDAHO FALLS, ID 83404-7875
(208) 973-4170
Mailing address
3040 S SOUTH FORK BLVD APT 5210, IDAHO FALLS, ID 83402-1341
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-9035
ID
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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